Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Amanda Lusk Kidd, ACNP-AG

Individual provider Registered Nurse · NPI 1093113490

MS. Amanda Lusk Kidd, ACNP-AG is a Registered Nurse in Roanoke, Virginia. Licensed in Virginia. Registered with an NPI since 2014.

Licensed in
VA
In the registry since
2014
Specialties on file
4

Practice location Address checks out

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone: (540) 981-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 0024172026 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001199884 (VA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 0024172026 (VA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 0024172026 (VA)

Record details

NPI number1093113490
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-AG
Sole proprietorNo
NPI enumeratedDecember 17, 2014
Last updated in NPPESDecember 17, 2014

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